The RNOH is recognised as a leading UK tertiary centre for the treatment of complex peripheral nerve injuries. Services include highly complex brachial plexus nerve repair and nerve transplantations in both infants and adults. Some patients are seen and treated as emergencies as a result of acute trauma, and others are referred because of chronic problems associated with earlier injury. The unit also deals with nerve tumours in the upper and lower limbs.

  • Exploration, repair and non-operative treatment in adult brachial plexus injury
  • Exploration, repair and non-operative treatment in obstetric brachial plexus injury (OBPP)
  • Peripheral nerve injury in upper or lower limbs
  • Nerve tumours
  • Palliative upper limb surgery after central nervous lesion i.e. reconstruction of spastic deformity
  • Injuries to the lumbo-sacral plexus
  • Surgical reconstruction of limb function after peripheral nerve injury

For Urgent referrals you must call the PNI department directly on 0203 947 0051 as well as submitting the Pathpoint referral form through this 'PATHPOINT' link 

From May 2022, the RNOH Peripheral Nerve Injury service committed to using ‘PATHPOINT’, an electronic referral and pathway management system, for all Consultant-led referrals from secondary and tertiary care organisations.

General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS)- please see below.

PATHPOINT offers significant benefits to referrers:

·  Secure, streamlined, electronic referral forms

·  Receive updates and notifications in real time

·  Increased visibility of all referrals and triage outcomes

To submit a referral to the Peripheral Nerve Injury unit please access the 'PATHPOINT' link (within your Secure hospital network) and follow the steps below:

1.    Register with your personal NHS email address for a PATHPOINT account to manage your referral/s

2.    Login to your account with your credentials by clicking the 'PATHPOINT' link

3.    Input your referring organisation, and patient PID details

4.    Click the drop down list of referral pathway forms and select EITHER:

Tertiary Brachial plexus injury referral” or “Tertiary Peripheral Nerve injury / Tumour referral

Then click "Go to referral form" to launch the form

5.    Fill in all fields of either the Tertiary Brachial plexus injury referral form or the Peripheral Nerve injury / Tumour referral form and click "Save Tertiary referral" to submit

NB: You will receive notification emails to your NHS email account from PATHPOINT from the Peripheral Nerve Injury unit with updates about the status of your referral if further information is required. 

To give your feedback, or for any further questions, please email the relevant contact below: 

PATHPOINT Technical Support: 

For further information on the PATHPOINT system, please click here

Referrals are accepted from GPs and consultants. If you are a GP referring to the RNOH please use the NHS e-Referral Service system, e-RS.

**Please note: All referrals should be accompanied by scan/diagnostics/results**

All  correspondence should be addressed to the Stanmore branch of the hospital on 

Unit co-ordinator:

Telephone 020 3947 0622

Mr Michael Fox's secretary:

Tel: 020 3947 0051


Dr Marco Sinisi's secretary:

Tel: 020 3947 0051


Miss Anna Panagiotidou’s secretary:

Tel: 020 3947 0051


Peripheral Nerve Injury 

Mr Mike Fox - Peripheral nerve, shoulder, and complex nerve injuries and associated trauma, and obstetric brachial plexus lesions

Mr Marco Sinisi - Obstetric and adult brachial plexus lesions, nerve traumatic lesions, tumours and reconstructive work after paralysis.

Miss Anna Panagiotidou – Peripheral Nerve Injuries in adults and children.

Information Guides 

Peripheral Nerve Injury

See the full list of Patient Information Guides.

See the full list of Rehabilitation Guidelines